Lexology July 11, 2025
The Center for Medicare and Medicaid Innovation (“CMMI”) announced sweeping changes to the Kidney Care Choices Model (“KCC Model”), a key set of value-based programs.
On May 28, 2025, CMMI announced its new approach to the KCC Model, citing a need to improve the KCC Model’s financial sustainability after recording approximately $304 million in net losses. These changes are part of a Trump administration strategy to increase CMMI operational efficiency (highlighted in our previous Alert) and chart a new course for value-based care.
CMMI introduced the KCC Model in 2019 with the intent to reduce cost and improve quality of care for patients with late-stage chronic kidney disease (“CKD”) and end-stage renal disease (“ESRD”). Since its implementation, the Centers for...







